Comparing the demographic data and outcomes of septic shock patients presenting to teaching or non-teaching metropolitan hospitals in the United States

BACKGROUND:Studies looking at the effect of hospital teaching status on septic shock related in-hospital mortality are lacking.The aim of this study was to examine the effect of hospital teaching status on mortality in septic shock patients in the United States.METHODS:This was a retrospective observational study,using the Nationwide Emergency Department Sample Database(released in 2018).All patients with septic shock were included.Complex sample logistic regression was performed to assess the impact of hospital teaching status on patient mortality.RESULTS:A total of 388,552 septic shock patients were included in the study.The average age was 66.93 years and 51.7%were males.Most of the patients presented to metropolitan teaching hospitals(68.2%)and 31.8%presented to metropolitan non-teaching hospitals.Septic shock patients presenting to teaching hospitals were found to have a higher percentage of medical comorbidities,were more likely to be intubated and placed on mechanical ventilation(50.5%vs.46.9%)and had a longer average length of hospital stay(12.47 d vs.10.20 d).Septic shock patients presenting to teaching hospitals had greater odds of in-hospital mortality compared to those presenting to metropolitan non-teaching hospitals(adjusted odd ratio[OR]=1.295,95%confidence interval[CI]:1.256-1.335).CONCLUSION:Septic shock patients presenting to metropolitan teaching hospitals had significantly higher risks of mortality than those presenting to metropolitan non-teaching hospitals.They also had higher rates of intubation and mechanical ventilation as well as longer lengths of hospital stay than those in non-teaching hospitals.

Review on The Teaching of Building Materials in Higher Vocational Colleges Based on the“Three Educations”Reformation

Building materials is not only a basic course content of architectural specialization,but also a practical course content taught in higher vocational institutions.It has a large number of knowledge points,a large number of principled and operational contents,and weak logic,all of which have an impact on the teaching effect.It is necessary to strengthen research on higher vocational building materials curriculum against the background of“three educations”reformation,as well as explore curriculum teaching reform strategy in conjunction with the current situation of higher vocational building materials curriculum teaching,in order to cultivate talents of high quality and professional ability.

Teaching Mode Reform of the Electrical Automation Control Course

Under the background of the new era,higher requirements are put forward for colleges and universities to carry out teaching reform.Teachers of electrical automation control courses should update their teaching ideas regularly,innovate teaching methods,and take novel and effective measures to carry out related work.Because electrical automation control courses tend to be technology-oriented,teachers can help students consolidate basic knowledge.They should also focus on developing practical skills so students can easily adapt to future job positions.However,there are many problems in the actual teaching process,which hampers the improvement of the teaching quality to a certain extent.In view of this,this paper presents an in-depth exploration based on theories and practical experiences.It starts with an analysis of the current teaching status of electrical automation control courses in colleges and universities,followed by suggestions to improve them based on their characteristics and students’needs.